A Case of Acute Myocardial Infarction Caused by Coronary Thrombus Associated with a Myocardial Bridge and Slow Coronary Flow.
10.4070/kcj.2005.35.8.639
- Author:
Jae Sun UHM
1
;
Chul Soo PARK
;
Tae Seok KIM
;
Su Yeon KIM
;
Hyun Jin KIM
;
Yu Kyung PARK
;
Ji Hoon KIM
;
Yong Seok OH
;
Ho Joong YOUN
;
Wook Sung CHUNG
;
Soon Jo HONG
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. charlie@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Myocardial infarction;
Thrombus;
Myocardial bridging;
Coronary flow
- MeSH:
Adult;
Arteries;
Chest Pain;
Coronary Angiography;
Follow-Up Studies;
Humans;
Injections, Intravenous;
Myocardial Bridging;
Myocardial Infarction*;
Rupture;
Thrombosis*;
Urokinase-Type Plasminogen Activator
- From:Korean Circulation Journal
2005;35(8):639-642
- CountryRepublic of Korea
- Language:English
-
Abstract:
Acute myocardial infarction is generally caused by the rupture or erosion of an atheromatous plaque and thrombosis. Acute myocardial infarction associated with a myocardial bridge or slow coronary flow is rare. We experienced a case of acute myocardial infarction, caused by a coronary thrombus in association with a myocardial bridge and slow coronary flow. A 33-year-old man presented with the sudden onset of chest pain. A diagnostic coronary angiography revealed an intraluminal contrast-filling defect, proximal to the myocardial bridge in the left anterior descending artery, with TIMI-2 flow. After an intracoronary injection of 150,000 units of urokinase and an intravenous injection of abciximab, the patient's chest pain subsided, with the follow-up coronary angiography showing the disappearance of the coronary thrombus.
